Active NPI
Carolyn Jean Nuccio
- Clinical Social Worker
- Bohemia, NY
National Provider Identifier
1952010894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085599
- Practice address
- 464 8TH St
Bohemia, NY 11716-1332 - Phone
- (631) 676-3790
- NPI assigned
- Nov 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 085599 | NY | Primary |
Addresses
Primary practice location
464 8TH St
Bohemia, NY 11716-1332
Mailing address
464 8TH St
Bohemia, NY 11716-1332
Phone (631) 676-3790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085599 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1952010894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 8TH ST",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161332",
"telephone_number": "631-676-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 8TH ST",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161332",
"telephone_number": "631-676-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUCCIO",
"first_name": "CAROLYN",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bohemia, NY
- Andrea Lauren Nickdow, M.S., CCC-SLP
- Carolyn Veronica Nickdow, L.P.N.
- Daniel D Nodiff, LMHC
- North Shore Orthotics-Prosthetics, LTD
- Northeast Ambulette Inc
- Ny Physical Therapy & Wellness Bohemia, PLLC
- Ny Shoreline Medical Services PLLC
- Nysarc Inc Suffolk Chapter
- Nysarc Inc Suffolk Chapter
- Nysarc Inc Suffolk Chapter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.